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膀胱癌全膀胱切除术后的回盲部尿道成形术

Ileocaeco-urethroplasty after total cystectomy for bladder cancer.

作者信息

Alcini E, Vincenzoni M, Destito A, D'Addessi A, Castiglioni G C

出版信息

Br J Urol. 1985 Apr;57(2):160-3. doi: 10.1111/j.1464-410x.1985.tb06412.x.

DOI:10.1111/j.1464-410x.1985.tb06412.x
PMID:3986451
Abstract

Eleven cases of ileocaeco-urethroplasty, performed over a 2-year period, are presented. The patients had low grade bladder cancer infiltrating into but not extending beyond the muscle layer (B-T3a). Following radiotherapy a total cystectomy was performed up to the verumontanum; afterwards the prostatic cuff was anastomosed to an ileocaecal segment. The patients have been followed up for 13 to 39 months. One died from metastases after 30 months. The others are alive and in good psychological condition, with satisfactory micturition. We believe this surgical option deserves more careful consideration.

摘要

本文报告了在两年时间内进行的11例回盲部尿道成形术病例。患者患有低级别膀胱癌,肿瘤浸润至肌层但未超出肌层(B-T3a期)。放疗后,进行了全膀胱切除术,直至精阜;之后将前列腺残端与一段回盲部进行吻合。对患者进行了13至39个月的随访。1例患者在30个月后死于转移。其他患者均存活,心理状态良好,排尿情况令人满意。我们认为这种手术选择值得更仔细的考虑。

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1
Ileocaeco-urethroplasty after total cystectomy for bladder cancer.膀胱癌全膀胱切除术后的回盲部尿道成形术
Br J Urol. 1985 Apr;57(2):160-3. doi: 10.1111/j.1464-410x.1985.tb06412.x.
2
Bladder replacement by ileocaeco-urethrostomy or ileo-urethrostomy with a reservoir after cystoprostato-vesiculectomy for bladder cancer. A functional evaluation.膀胱癌行膀胱前列腺精囊切除术后,采用回盲部尿道吻合术或带储尿囊的回肠尿道吻合术进行膀胱重建的功能评估。
Br J Urol. 1989 Jan;63(1):36-42. doi: 10.1111/j.1464-410x.1989.tb05121.x.
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[Continent urinary diversion following cystectomy in bladder carcinoma].[膀胱癌膀胱切除术后的大陆式尿流改道]
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Further experience with the ileocecal segment in urinary reconstruction.
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Total replacement of the bladder with an intestinal pouch for normal micturition after cystectomy.膀胱切除术后用肠袋完全替代膀胱以实现正常排尿。
Jpn J Clin Oncol. 1989 Sep;19(3):276-82.
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The ileocecal bladder: a new method for urinary diversion after radical cystectomy (a preliminary report).回盲部膀胱术:根治性膀胱切除术后尿流改道的一种新方法(初步报告)
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Bladder substitution with ileocaecal (Mainz) pouch. Clinical performance over 2 years.回盲部(美因茨)袋膀胱替代术。2年临床疗效。
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[Reconstruction of the urinary bladder following cystectomy].[膀胱切除术后膀胱的重建]
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引用本文的文献

1
Bladder replacement in women: a new experience.女性膀胱置换:一种新体验。
Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(1):36-46. doi: 10.1007/BF01920292.
2
Sigmoidocystoplasty after total cystectomy for bladder cancer: a follow-up study.膀胱癌全膀胱切除术后乙状结肠膀胱扩大术:一项随访研究。
Jpn J Surg. 1986 Sep;16(5):351-6. doi: 10.1007/BF02470558.